Robert W Bassham DDS PA

NPI #1790394393 in Wynne, Arkansas

Provider Information

NPI Number
1790394393
Entity Type
Organization
Organization Name
Robert W Bassham DDS PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 29, 2020
Last Updated
Jul 29, 2020

Practice Location

Address
669 ADDISON DR
City
Wynne
ZIP Code
72396-1602
Phone
(870) 238-7570

Authorized Official

Name
MRS. HOLLY GENE BASSHAM
Title
OFFICE MANAGER
Phone
(870) 238-7570

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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